重症监护病房谵妄监测与标准化治疗：荷兰重症监护病房的全面调查
Intensive care delirium monitoring and standardised treatment: a complete survey of Dutch Intensive Care Units.
作者信息
Van Eijk Maarten M J, Kesecioglu Jozef, Slooter Arjen J C
机构信息
Department of Intensive Care, University Medical Center, Utrecht, The Netherlands.
出版信息
Intensive Crit Care Nurs. 2008 Aug;24(4):218-21. doi: 10.1016/j.iccn.2008.04.005. Epub 2008 Jun 3.
OBJECTIVE
Delirium is a frequent and serious problem in the Intensive Care Unit (ICU). Several international guidelines recommend daily monitoring for ICU-delirium. The purpose of this article is to give an up-to-date overview of the current status of monitoring and treatment of ICU-delirium in the Netherlands.
DESIGN
Nation-wide, telephone-based questionnaire survey.
PARTICIPANTS
Head nurse of all ICUs and a random sample of intensivists.
RESULTS
Only 14% (n=14) of all Dutch ICUs (n=103) monitored for ICU-delirium. Of these, only half (7%) used a tool that is validated in ICU patients. In 31% of Dutch ICUs, a protocol was used to treat ICU-delirium. Responses were obtained from 100% of ICUs.
CONCLUSION
Despite an international guideline, not more than 7% of ICUs in our study routinely evaluated the presence of delirium with a validated instrument. Fewer than one-third of Dutch ICUs use a protocol to treat ICU-delirium.
目的
谵妄是重症监护病房（ICU）中常见且严重的问题。多项国际指南建议对ICU谵妄进行每日监测。本文旨在对荷兰ICU谵妄监测与治疗的现状进行最新概述。
设计
基于电话的全国性问卷调查。
参与者
所有ICU的护士长以及随机抽取的重症监护医生。
结果
荷兰所有ICU（n = 103）中仅有14%（n = 14）对ICU谵妄进行监测。其中，只有一半（7%）使用了在ICU患者中经过验证的工具。在31%的荷兰ICU中，采用了治疗ICU谵妄的方案。所有ICU的回复率为100%。
结论
尽管有国际指南，但在我们的研究中，不超过7%的ICU常规使用经过验证的工具评估谵妄的存在。不到三分之一的荷兰ICU采用治疗ICU谵妄的方案。
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